Phil Prothero, MA, MDIV, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0076445 Issued in VT

Practice address

205 Billings Farm Rd Ste 2D
White River Junction, VT 05001

Phone

(802) 356-1731

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redeeming Stories Inc.

  • Professional Counselor
  • White River Junction, VT
  • NPI 1710425343
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1932279890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050011132",
            "telephone_number": "802-356-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD STE 2D",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "05001",
            "telephone_number": "802-356-1731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 Colby Ave",
            "address_2": "Suite 721",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013557",
            "country_code": "US",
            "telephone_number": "425-344-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROTHERO",
        "first_name": "PHIL",
        "credential": "MA, MDIV, LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00047624",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011059",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0076445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Douglas Poulter, R.PH.
• Daniel Power
• Morgan Prentiss
• Taylor Renee Preseau
• Jessica Lynn Price, PSYD
• Pamela Jean Proulx, LICSW
• Rebekah Lucier Pryles, D.M.D
• Virginia Mary Quinn, RD
• Daniel Charles Ramirez, PA
• Dorrie Louise Rapp, PH.D

• Mental Health Counselor in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.